About: · Location: Remote – Must live in Ohio · Full-time position · Schedule and Shift Details: Participate in a rotating 24/7 triage and after-hours support model The Role: This role offers an opportunity to lead clinical care and operations for medically complex Medicaid and Dual Eligible populations in Ohio. You will provide advanced practice care virtually while guiding an interdisciplinary team to improve patient outcomes and reduce hospital visits. The position combines clinical expertise with leadership and program development in a home-centered, value-based care model. Key Responsibilities · Deliver high-quality virtual clinical care and ongoing management for medically complex Medicaid and Dual Eligible members · Lead, mentor, and develop the Ohio interdisciplinary clinical team fostering collaboration, accountability, and a culture of excellence · Build and scale local clinical operations establishing workflows, best practices, and performance standards · Provide coaching, oversight, and performance management for team members supporting professional development · Conduct patient assessments, medication management, care planning, and follow-up through telehealth and remote care technologies · Coordinate care with primary care providers, specialists, managed care organizations, and community partners · Lead and document advance care planning and goals-of-care conversations with patients and families · Ensure accurate and compliant clinical documentation supporting HCC coding, risk adjustment, and quality initiatives including STAR and HEDIS gap closure · Assist with hospital admission and discharge planning ensuring smooth transitions back to the home setting · Contribute to development and continuous improvement of clinical protocols, operational processes, and value-based care strategies

Qualifications

Master's degree or higher 1+ years of experience in ANY of the following: Allscripts Care Management Telemedicine Care Care Management ANY of the following valid licenses/certifications: Nurse Practitioner (NP) Family Nurse Practitioner (FNP) Psychiatric-Mental Health Nurse Practitioner (PMHNP) ANY of the following valid licenses/certifications: Adult Gerontology Nurse Practitioner (AGNP) Gerontological Nurse Practitioner (GNP)